Custom Prosthetic, Ltd.

LBN: Custom Prosthetic, Ltd.
Custom Prosthetic, Ltd. is an health care organization with primary practice located at 705 Opera Aly Ste K , Tacoma WA 98402-3734. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist, which is considered as the primary health care specialty. Custom Prosthetic, Ltd. can be contacted via phone (253) 327-1924, or through Haggerty, Sharon A via phone (253) 327-6192.

Contact Information

Primary practice address
705 Opera Aly Ste K Tacoma WA 98402-3734
Phone: (253) 327-1924
Fax: (206) 826-1790
Website:
Map and Directions
Authorized official contact:
Name: Haggerty, Sharon A M.A.M.S.
Phone: (253) 327-6192

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist 229N00000X

Profile Details

NPI number 1710008537
LBN Legal business name Custom Prosthetic, Ltd.
DBA Doing business as
Authorized official Haggerty, Sharon A M.A.M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 25th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710008537 NPPES
Washington MEDICAID 9044017
Washington Other 0170345

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